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Brain abscess following esophageal dilatation
V K Thapar1, S Rajashekharam, R D Bapat
1Department of Surgery, Seth Gordhandas Sunderdas Medical College & King Edward Memorial Hospital, Parel, Mumbai, India. rathapar@bol.net.in
Summary
A rare brain abscess complication occurred after esophageal dilatation for a corrosive stricture. Prompt antibiotic and surgical treatment led to a good outcome, highlighting the need for vigilance.
Area of Science:
- Neurology
- Gastroenterology
- Infectious Diseases
Background:
- Corrosive strictures of the esophagus often require repeated dilatations for management.
- Esophageal dilatation is a common procedure for treating esophageal strictures.
Observation:
- A 23-year-old woman developed a brain abscess after undergoing esophageal dilatation for a corrosive stricture.
- Post-procedure symptoms included high fever and neurological deficits.
Findings:
- Cranial computed tomography confirmed the diagnosis of brain abscess.
- The patient received prompt treatment with antibiotics and surgical drainage.
Implications:
- Brain abscess is a rare but serious potential complication of esophageal dilatation.
- Clinicians should consider this risk in patients undergoing long-term esophageal dilatation for corrosive strictures.
- Reviewing prior cases aids in understanding and managing this complication.